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and possibility of differentiation between bone and soft tissue inflammation. The first phase (0-60 s) reflects blood flow, the second phase (1-3min) – tissue vascular space, and the third phase (2-4 h) – increased metabolic processes of bone tissue. Three-phase scintigraphy of active bone-joint system inflammatory process reveals increased blood flow in arterial phase (I phase), local hyperaemia in capillary phase (II phase) and increased accumulation in static phase (III phase). Valuable complement for scintigraphic method could constitute non-invasive thermography. Thermograms reflect pathophysiological processes occurring in organism because temperature changes of organs and tissues are one of the first factors of beginning or endless disease process. The aim of this study was to compare imaging of joints inflammation using dynamic scintigraphy and thermography. Materials and methods Osteothrophic scintigraphy and thermography performed in 32 patients (17 females, 15 males, mean age 49) suspected of joints inflammation. Three-phase scintigraphy: Imaging was obtained immediately and after 2 hours post-intravenous injection of 99mTc- Medronate II Agent (Amersham) using digital gamma camera X Ring (Mediso). Thermography: Visualization using camera ThermaCAM S60 (FLIR SYSTEM) was performed. Detector of infrared radiation was array 320 x 240 uncooled microbolometers with thermal resolution 0.08 0C (for 30 0C). Automatic correction of background temperature and emissivity was applied. Examinations were taken in the same conditions. Results In all patients scintigraphy was showed disorders in accumulation of the tracer in joint-bone system. In thermography abnormality of temperature distribution in 91% patients were observed. Increased temperature in region of disease process was observed together with scintigraphic disorders visible in all phases this examination (87%). Hypothermic lesions were observed together with increased radiotracer accumulation visible in third phase of study (13%) only. Conclusions Osteothrophic scintigraphy and thermography were showed high sensitivity in joint-bone system inflammation imaging. Hyperthermic disorders were responded changes, which according to scintigraphy were evaluated as active inflammatory process. Hypothermic disorders were showed lesions, which in scitigraphy were evaluated as chronic inflammation. Temperature distributions on a skin surface in inflammatory process allow to assess and monitoring of inflammation. Lack of anatomical details and two-dimensional imaging do not allow to differentiate the range of tissue involved inflammatory process. This is why thermography is complementary method and should be use together with other diagnostic techniques. P45 ODLEGŁE WYNIKI BEZCEMENTOWEJ ALLOPLASTYKI STAWU BIODROWEGO W KOKSARTROZIE DYSPLASTYCZNEJ Drobniewski M., Synder M. Klinika Ortopedii i Ortopedii Dziecięcej II Katedry Ortopedii Uniwersytetu Medycznego w Łodzi Wojewódzkie Centrum Ortopedii i Rehabilitacji Narządu Ruchu im. dr Z. Radlińskiego ul. Drewnowska 75, 91 – 002 Łódź Słowa kluczowe: rozwojowa dysplazja stawu biodrowego, koksartroza dysplastyczna, alloplastyka stawu biodrowego Wstęp Jedną z najczęstszych przyczyn powstawania wtórnych zmian zwyrodnieniowych stawów biodrowych jest rozwojowa dysplazja stawu biodrowego. W chwili obecnej, leczeniem z wyboru zaawansowanych postaci koksartrozy dysplastycznej jest zabieg chirurgiczny – endoprotezoplastyka. Cel badań Celem pracy jest ocena wyników leczenia zaawansowanej koksartrozy dysplastycznej metodą całkowitej bezcementowej alloplastyki stawu biodrowego wykonanej u chorych w wieku do 50 roku Ŝycia. Materiał i metody badań Analizie poddano 177 chorych, u których wykonano alloplastykę bezcementową w 220 dysplastycznych stawach biodrowych. Grupę kontrolną stanowiło 208 pacjentów, u których wykonano bezcementową alloplastykę stawu biodrowego o etiologii innej niŜ dysplazja. Średni wiek pacjentów w grupie badanej wynosił 38,3 lat, a w grupie kontrolnej 41,8 lat. Chorych w obu grupach oceniano na podstawia badania klinicznego i radiologicznego. Wyniki badań W grupie badanej uzyskano w 11,8% przypadków wynik bardzo dobry, w 27,7% wynik dobry, w 42,7% wynik dostateczny i w 17,8% przypadków wynik zły. W grupie kontrolnej wyniki te przedstawiały się odpowiednio: 43,0%, 31,1%, 15,9% i 10%. W 16,8% operowanych bioder w grupie badanej konieczne były zabiegi rewizyjne ( w grupie kontrolnej w 15,1% przypadków). Wnioski 161
Koksartroza dysplastyczna jest trudną do leczenia chorobą stawu biodrowego i wymaga duŜego doświadczenia od leczącego. Z tego powodu zabiegi operacyjne powinny być wykonywane w wyspecjalizowanych ośrodkach ortopedycznych. Przystępując do leczenia naleŜy liczyć się z moŜliwością wystąpienia szeregu powikłań. P45 LONG - TERM RESULTS OF UNCEMENTED TOTAL HIP ARTHROPALSTY IN DYSPLASTIC COXARTHROSIS Drobniewski M., Synder M. Klinika Ortopedii i Ortopedii Dziecięcej II Katedry Ortopedii Uniwersytetu Medycznego w Łodzi Wojewódzkie Centrum Ortopedii i Rehabilitacji Narządu Ruchu im. dr Z. Radlińskiego ul. Drewnowska 75, Łódź 91 - 002 Aims: The purpose of the study was to evaluate the long-term results of uncemented total hip arthroplasty (THA) in young patients (below 50 years of age) with dysplastic coxarthrosis. Material and Methods: In the last twenty years, 862 primary uncemented total hip arthroplasty (THR), were implanted in our Institution. This surgery was performed in 459 patients. From this group 220 hips in 177 patients (167 women and 10 men), who had dysplastic coxarthrosis, were included in our study. The left hip was operated in 66 and the right one in 68 patients. Bilateral surgery was performed in 43 cases. The means age at the time of hip surgery was 38, 3 years (range from 18 to 49 years). The mean follow-up was 9, 3 years (range from 2 years to 18, 6 years). In 167 (75, 8%) patients the operative treatment of DDH was performed during the early childhood (Colonna-Zahradnicek procedures, Dega, Pemberton and Salter pelvic osteotomies). Only 39 (17, 7%) patients were treated in the childhood conservatively by means of overhead extension, Frejka pillow or Pavlik harness. All patients were evaluated clinically and radiological. For clinical evaluation the classification system proposed by Merle d’Aubigne and Postel with Charnley modification was used. For radiological evaluation of the steam implantation the classification system proposed by De Lee and Charnley was used and for the cup implantation the system by Gruen and Moreland. The femoral head displacement prior to THA surgery was classified according to Crowe at all. classification. Results: Based on above mentioned criteria in 26 hips (11,8%) the final result was graded as very good, in 61 cases (27,7%) as good, in 94 hips (42,7%) as satisfactory and in the remaining 39 cases (17,8%) the final result was poor. We observed a very strong correlation between clinical and radiological results. According to Crowe and all. classification, in class I we noted 19 (61,3%) very good , 11 (35,5%) good, 1 (3,2%) satisfactory results. In class II in 5 cases (6,6%) the results was very good, 25 (32,9%) good and in 39 (51,3%) satisfactory results. In class III only in 2 cases the final result was graded as very good, and good in 23 hips (25,8%). In class IV there was no very good result, and we observed 19 (21,4%) poor results. In analyzed group in 37 (16,8%) patients the revision hip surgery was necessary because of aseptic prosthesis loosening. Conclusions: The treatment of dysplastic coxarthrosis by means of THA is difficult. The high level of experience is necessary to perform this type of surgery. This type of THA should be performed only in selected orthopaedic centers. Starting the surgery one has to think about complications. P46 MANAGEMENT OF PATIENTS WITH CONCOMITANT OSTEOARTHROSIS AND OSTEOPOROSIS: A DENSITOMETRIC STUDY Smiyan S.I., Savochkina N.L., Barladyn O.R., Slaba U.S., Hrymalyuk N.V. 2 nd Department of Internal Medicine, Ternopil Medical University, Ukraine Keywords: osteoporosis, osteoarthritis, calcium, vitamin D3 Until recently it has been considered that osteoarthritis (OA) and osteoporosis (OP) do not coexist. Now there is an increasing number of data, according to which the prevalence of OP in OA ranges from 36.4 to 43.4 %. Our purpose was (1) to establish risk factors of OP in patients with OA, (2) to study the diagnostic value of bone mineral density (BMD) assessment in lumbar spine and femoral bone, and (3) to evaluate the efficacy of chondroitin sulfate, glucosamine, and calcium – vitamin D3 supplements in complex management of OA. A total of 196 patients with OA were screened for OP by means of dual photon X-ray densitometry (Lunar, Corp.). Thirty patients with osteodeficiency were given a modified therapy with calcium and vitamin D3 supplements. A cohort of 30 patients who were not taking calcium and vitamin D3 supplements represented a control group. Osteodeficiency was diagnosed in 42.7 % of patients with OA. Of them, 64.4 % of patients had a reduction of BMD in lumbar spine and 100 % had a reduced femoral BMD. Patients with normal BMD at L1-L4 level had signs of spondyloarthritis. The risk factors for OP were reduced body mass index and postmenopausal state in women. In patients with OA whose body mass index was above 20, no signs of osteoporosis were revealed. After 6 months follow-up, the use of calcium and vitamin D3 supplements resulted in a 2.9±0.3 % BMD increase in patients with osteopenia, and a 1.2±0.4 % BMD increase in patients with osteoporosis. In patients with osteopenia 162
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STRESZCZENIA ABSTRACTS STRESZCZENIA
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L11 Roztoczyńska D., Dziatkowiak H
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13.00-14.30 Lunch Sesja plakatowa (
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Prevention of surgical joint replac
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SPIS PLAKATÓW (CONTENTS OF POSTERS
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P27 Scheplyagina L.A., Moisseyeva T
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P55 Przybyłowicz K., Cichon R., W
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L00 NEW CHALLENGES IN THE TREATMENT
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Keywords: osteoarthrosis, estrogens
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ANALIZA ASOCJACJI GENÓW METABOLIZM
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(średni wzrost o.285 % ponad warto
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4 University of Manchester - on beh
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with growth abnormalities often sho
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1,06 ± -1,00 i 0,26 ± 1,75 vs. -0
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GĘSTOŚĆ MINERALNA KOŚCI WOKÓŁ
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L13 THE DXA EVALUATION OF BONE MINE
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Wyniki Wykazaliśmy, Ŝe moŜna okr
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przewidywania złamania bkk udowej
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Ocena efektywności wynika z defini
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L20 CALCIUM AND VITAMIN D AS AN ESS
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Keywords: falls, prospective study,
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1 Krakow Medical Centre, ul. Kopern
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Under physiological conditions bone
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Service of Bone Diseases, WHO Colla
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obniŜyły resorpcję kości przez
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Raloxifene treatment, when compared
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Realizowane są działania skrining
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L33 JAKOŚĆ śYCIA U CHORYCH PO Z
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przezskórnej. Badanie powyŜsze w
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Dalsze badania nad tamoksyfenem uja
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Karzewnik E., 1 Sewerynek E. 2 1 Po
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adań na szczurach rozwoju nowotwor
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zapalenia przełyku. Wydaje się je
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susceptibility to fracture, respect
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sytuacja odwrotna, jaki mają wpły
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mogą być wolne i związane. Wolne
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The frequency of osteoporosis among
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Introduction There seems to be a we
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P01 POLIMORFIZMY PVUII I XBAI GENU
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2 Klinika Nefrologii, Endokrynologi
Page 82 and 83: concentrations of Ca (atomic - abso
Page 84 and 85: The established procedure for asses
Page 86 and 87: Bolanowski M.1, Skrzek A.2 1 Depart
Page 88 and 89: Na podstawie obserwacji chorych prz
Page 90 and 91: (The English version of the abstrac
Page 92 and 93: Napierała K.1, Miazgowski T.2, Hos
Page 94 and 95: STOPIEŃ PRZESTRZEGANIA ZALECEŃ PR
Page 96 and 97: Wnioski Stosowanie 25-OHD3 i CaCO3
Page 98 and 99: 1. Wywiad z pacjentem był przeprow
Page 100 and 101: Ciesielczyk B.1, Nowik M.2 1 Surgic
Page 102 and 103: Wyszogrodzka - Kucharska A., 1 Rabe
Page 104 and 105: Introduction Coeliac disease leads
Page 106 and 107: NajniŜszy średni wskaźnik Z-scor
Page 108 and 109: mg/day was calculated and compared
Page 110 and 111: Z uwagi na dane epidemiologiczne ws
Page 112 and 113: Wstęp Wartości masy kostnej u dzi
Page 114 and 115: U wszystkich chorych przed leczenie
Page 116 and 117: Decrease of Z-score of at least one
Page 118 and 119: P32 OSTEOPOROZA I NIEPOWIKŁANE ZŁ
Page 120 and 121: obniŜenie BMD. Występowanie osteo
Page 122 and 123: Słowa kluczowe: osteoporoza, Z -sc
Page 124 and 125: Keywords: hip osteoarthritis; trans
Page 126 and 127: 1/ Ocena efektu analgetycznego tera
Page 128 and 129: Wyniki wskazały na wybitnie znamie
Page 130 and 131: observed. In other subscales no dif
Page 134 and 135: treated with chondroitin sulfate an
Page 136 and 137: Zakład Biofizyki, Collegium Medicu
Page 138 and 139: DAILY OSCILLATIONS OF INSULIN-LIKE
Page 140 and 141: DIFFUSE IDIOPATHIC SKELETAL HYPEROS
Page 142 and 143: Osoby otyłe są predysponowane do
Page 144 and 145: Keywords: peri-menopausal women, nu
Page 146 and 147: udowej śrubami AO, natomiast rami
Page 148 and 149: podkrętarzowego przekroju kości u
Page 150 and 151: stymulacja procesów gojenia kości
Page 152 and 153: - in 2 cases. Lesion locations: thi
Page 154 and 155: Diagnozowanie CTS na podstawie tylk
Page 156 and 157: 3. Wytrzymałość na ściskanie ws
Page 158 and 159: BADANIA CEMENTÓW WAPNIOWOFOSFORANO
Page 160 and 161: Otrzymany gips implantacyjny, w zal
Page 162 and 163: Nowy złoŜony biogeniczny materia
Page 164 and 165: pojono wodą nie zanieczyszczoną C
Page 166 and 167: Poczynając od 90 dnia obserwacji p
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